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The aim of the study is to evaluate the results of early laparoscopic cholecystectomy for acute cholecystitis and to analy – se the problems related to patients’ selection and surgical timing.
The authors report their personal experience of 45 laparoscopic cholecystectomies for acute cholecystitis. The diagnosis was based on clinical, blood test and US scan analyse findings. Technical surgical details were decompression of the gallbladder, use of endobag and abdominal dranage. We didn’t performe and intraoperative cholangiography in absence of predictive factor for common bile duct stones.
The mean time required for surgery was 120 minutes, conversion rate was 15% in early operations and 23,8% in operations delaied more than 72 h. Dissection difficulty is the main cause of conversion. Four patients underwent postoperative complications: one subphrenic abscess, one bile leakage (both recovered with nonsurgical therapy and two wound infections).
